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Putting woman-centered care into practice : a new (ANEW) approach to psychosocial risk assessment during pregnancy

Gunn, Jane, Hegarty, Kelsey, Nagle, Cate, Forster, Della, Brown, Stephanie and Lumley, Judith 2006, Putting woman-centered care into practice : a new (ANEW) approach to psychosocial risk assessment during pregnancy, Birth : issues in perinatal care, vol. 33, no. 1, pp. 46-55, doi: 10.1111/j.0730-7659.2006.00073.x.

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Title Putting woman-centered care into practice : a new (ANEW) approach to psychosocial risk assessment during pregnancy
Author(s) Gunn, Jane
Hegarty, Kelsey
Nagle, CateORCID iD for Nagle, Cate orcid.org/0000-0002-5661-6379
Forster, Della
Brown, Stephanie
Lumley, Judith
Journal name Birth : issues in perinatal care
Volume number 33
Issue number 1
Start page 46
End page 55
Publisher Wiley-Blackwell Publishing, Inc.
Place of publication Hoboken, N.J.
Publication date 2006-03
ISSN 0730-7659
1523-536X
Summary Background: When antenatal care is provided, identification and management of challenging problems, such as depression, domestic violence, child abuse, and substance abuse, are absent from traditional midwifery and medical training. The main objective of this project was to provide an alternative to psychosocial risk screening in pregnancy by offering a training program (ANEW) in advanced communication skills and common psychosocial issues to midwives and doctors, with the aim of improving identification and support of women with psychosocial issues in pregnancy.

Methods
: ANEW used a before‐and‐after survey design to evaluate the effects of a 6‐month educational intervention for health professionals. The setting for the project was the Mercy Hospital for Women in Melbourne, Australia. Surveys covered issues, such as perceived competency and comfort in dealing with specific psychosocial issues, self‐rated communication skills, and open‐ended questions about participants' experience of the educational program.

Results
: Educational program participants (n = 22/27) completed both surveys. After the educational intervention, participants were more likely to ask directly about domestic violence (p = 0.05), past sexual abuse (p = 0.05), and concerns about caring for the baby (p = 0.03). They were less likely to report that psychosocial issues made them feel overwhelmed (p = 0.01), and they reported significant gains in knowledge of psychosocial issues, and competence in dealing with them. Participants were highly positive about the experience of participating in the program.

Conclusions
:The program increased the self‐reported comfort and competency of health professionals to identify and care for women with psychosocial issues.
Language eng
DOI 10.1111/j.0730-7659.2006.00073.x
Field of Research 111099 Nursing not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2006, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30022507

Document type: Journal Article
Collection: School of Nursing and Midwifery
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